Clayhall Community Centre Gift Aid Declaration
By submitting this form, I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want Clayhall Community Centre, named above, to reclaim tax on the donation detailed below, given on the date shown. I understand that if I pay less Income Tax / or Capital Gains tax in the current tax year than the amount of Gift Aid claimed on all of my donations it is my responsibility to pay any difference. I understand the charity will reclaim 25p of tax on every £1 that I have given.

Clayhall Community Centre would like to thank you for your generous donation

Registered Charity Number 1157196
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Email *
Date *
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Full Name *
Address *
Post Code *
Total Donation Amount Paid *
Lillah Amount included in Donation (please enter zero if none) *
Qarz e Hasana amount included in donation (please enter zero if none) *
Payment Method *
Gift Aid *
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